Explaining Variation in Birth Outcomes of Medicaid-Eligible Women with Variation in the Adequacy of Prenatal Support Services
Bibliographic Data
| ID | 9101417 |
|---|---|
| Authors | Rick K Homan, Rick Homan (0000-0001-9827-9238, Public Policy Institute of California, corresponding author), Carol C Korenbrot (Sutter Health, corresponding author) |
| Year | 1998 |
| Volume | 36 |
| Issue | 2 |
| Pages | 190-201 |
| Publication date | 1998-02-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199802000-00008 |
| PMID | 9475473 |
| OpenAlex | W2330654735 |
| Language | EN |
| Citations received | 11 |
| References cited | 18 |
OBJECTIVES: This study examines the contribution of the adequacy of nutrition, psychosocial, and health education support service delivery in explaining variation in birth outcomes among Medicaid-eligible women, their provider sites, and practice settings. METHODS: Logistic regression models for low birthweight and preterm birth outcomes are first fitted with medical record data on maternal risks and use of prenatal visits for more than 3,485 women receiving care at 27 ambulatory sites, correcting for clustering of women within sites. RESULTS: The change in variation explained by these models with the addition of the adequacy of support services indicates that providing at least one nutrition, psychosocial, and health education service session each trimester of care contributes significantly to explaining better birth outcomes when compared with providing fewer sessions. When the expected outcome rates calculated with the estimated effects in the models are compared with their observed rates across provider sites and setting types, however, adequacy of service delivery does not help to explain differences in outcomes at individual sites or types of settings. CONCLUSIONS: Although repeated support service sessions during prenatal care improve the chances of avoiding poor birth outcomes in low income women, further adjustments for other differences between women or service delivery are needed to explain variation in outcomes at different sites and practice settings
Environmental health · Family medicine · Health care · Logistic regression · Medicaid · Population · Prenatal care · Psychiatry · Psychosocial · Service (business) · Demography · Gestational Diabetes Research and Management · Maternal and Perinatal Health Interventions · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Gerontology
Obesity and Postpartum Depression
A Performance Indicator of Psychosocial Services in Enhanced Prenatal Care of Medicaid-Eligible Women
Low Prenatal Weight Gain Among Adult WIC Participants Delivering Term Singleton Infants
Use of Social Services by Pregnant Medicaid Eligible Women in Baltimore
Racial and Ethnic Disparities in Potentially Avoidable Delivery Complications Among Pregnant Medicaid Beneficiaries in South Carolina
Health Promotion and Psychosocial Services and Women’s Assessments of Interpersonal Prenatal Care in Medicaid Managed Care
Adequacy of prenatal care among women living with human immunodeficiency virus
Poverty, Near-Poverty, and Hardship Around the Time of Pregnancy
Effects of Psychosocial Risk Factors and Prenatal Interventions on Birth Weight
Predictors of Prenatal and Postpartum Care Adequacy in a Medicaid Managed Care Population
Managed care, reimbursement structure, and access to prenatal social services
Regression Analysis for Correlated Data
The Role of Prenatal Care in Preventing Low Birth Weight
The effects of prenatal care upon the health of the newborn
Nonclient factors in the reporting of prenatal psychosocial risk assessments
Using Health Status Surveys in Medical Consultations
Practice Variation and the Risk of Low Birth Weight in a Public Prenatal Care Program
Controlling Variation in Health Care
Effect of Prenatal and Infancy Nurse Home Visitation on Government Spending
| Unique citing works | 11 |
|---|---|
| Citations per year | 0,39 |
| Citation span | 1998 - 2015 (18) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 10 |